HomeMy WebLinkAbout04-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES + r~' ~~':If ~~.; Q7!~E~ ~F,"t~NHERITANCE TAX
INHERITANCE TAX DIVISION ~~~ ~~X, AL(_OWANCE OR DISALLOWANCE
PO BOX 280681 j eb~;,;~kl'~~aDN;~ K ;AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0681 lpp JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-09)
209 APR -3 AM f i' ~ ~ ESTATE OF BASHAM2009 JAMES
DATE OF DEATH 12-22-2008
+~~ ~ FILE NUMBER 21 09-0238
~~,`~ SSN/DC 226B28L4226
LOUISE NICHOLSON ~M~~~~ ~„ ~ ACN 09101347
39 LEE ANN COURT APPEAL DATE: 05-29-2009
E N O L A P A 17 0 2 5 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548 EX AFP CO1-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-30-2009
ESTATE OF BASHAM JAMES DATE OF DEATH 12-22-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0238 S.S/D.C. N0. 226-28-4226
ACN 09101347
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT N0. 210429-00
TYPE OF ACCOUNT: 4()SAVINGS C ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 10-19-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
378.96
X 0.500
• 189.48
4,362.14
.00
X .12
.00
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
C IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )